| Billingslea Counseling Services Llc | |
|
2111 University Park Dr Ste 400 Okemos MI 48864-6907 | |
| (810) 412-8458 | |
| Not Available |
| Full Name | Billingslea Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2111 University Park Dr Ste 400, Okemos, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Billingslea Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Billingslea Counseling Services Llc 2111 University Park Dr Ste 400 Okemos MI 48864-6907 Ph: (810) 412-8458 |
| NPI Number | 1104563311 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 7315325727 |
|---|---|
| Medicare Enrollment ID | O20220525001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104563311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Tameka S Billingslea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538755988 PECOS PAC ID: 1951714856 Enrollment ID: I20210114001350 |
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